Park Nicollet Clinic
NPI 1063897593ActiveOrganization· Family Medicine· St Louis Park, MN
Family Medicine in St Louis Park, Minnesota, registered in NPPES in July 2015. The authorized official on file is Alita Risinger, Sr Vice President, Cfo.
Overview
| NPI | 1063897593 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2015 |
| Last updated in NPPES | Aug 3, 2026 |
| Certified by provider | Aug 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Obstetrics & Gynecology | 207V00000X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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